Mindfulness Ased Stress Reduction Interventions for Cancer Related Fatigue: A Meta-Analysis and Systematic Review

He, Juan; Hou, Jun-huan; Qi, Jun; Zhang, Ting; Wang, Yaling; Qian, Min

doi:10.1016/j.jnma.2020.04.006

Cited by 11 publications

(11 citation statements)

References 16 publications

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“…According to the levels of evidence reported, eight reviews were ranked as Level of Evidence 2B, due to low-quality RTCs [ 9 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. Two of the reviews were ranked as Level 2B due to heterogeneous RTCs [ 52 , 53 ]. Finally, one of the reviews failed to report details of its evidence level [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the certainty levels of the evidence reported, four of the reviews (36.36%) refer to moderate levels of certainty regarding the estimation of the effect [ 46 , 47 , 50 , 51 ]. Four of the reviews (36.36%) refer to a low level of certainty; that is, the confidence level in the effect estimate is limited [ 45 , 48 , 49 , 53 ]. One of the reviews (9.09%) reports a high level of certainty; namely, there is much confidence that the true effect is close to the estimate [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…The direct and indirect effect sizes of the reviews were extracted [ 41 ], as well as the authors’ conclusions. Cognitive therapies [ 45 , 50 , 56 ] and, specifically, mindfulness [ 52 , 53 ] are those that report the best results in direct data in primary studies ( Table 1 ). Better results are found in specific treatments in patients with previous fatigue [ 45 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

Ramón

Arenillas

Valero³

et al. 2023

Current Oncology

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Cancer-related fatigue is one of the most common symptoms of cancer and one of those referred by patients as the most disabling. However, we still do not have enough evidence to allow us to recommend effective and personalized approaches. Goal: To provide evidence on the efficacy of ASCO-recommended psychosocial interventions for reducing cancer-related fatigue. Methodology: A general quantitative systematic review for nonprimary clinical interventions that allows the collection, synthesis and analysis of already published reviews. Systematic reviews of RTCs were selected as these make up the body of knowledge that provides the most evidence in an umbrella format. The results do not provide clear or comparable evidence regarding the different interventions, with moderate evidence standing out for cognitive interventions and mindfulness. Conclusions: Research gaps, study biases and the need for further research to ask more precise questions and to make reliable recommendations to mitigate the impact of cancer-related fatigue are evident.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

Ramón

Arenillas

Valero³

et al. 2023

Current Oncology

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“…Recently, two meta-analyses have focused on the effect of MBSR on cancer-related fatigue,14 15 and both concluded that the intervention is effective in reducing such condition in patients with cancer. Xie et al 15 found that MBSR is more effective when it involves only the expert-guided method compared with the expert-guided plus compact-disc method.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-based therapies for cancer patients and families: a systematic review

Torricelli

Rabitti

Cafaro

et al. 2022

BMJ Support Palliat Care

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BackgroundMindfulness-based therapies (MBTs) addressed to patients with cancer have been widely studied in the last two decades, and their efficacy has been systematically reviewed and meta-analysed. Although findings from literature highlight benefits of MBTs on several patients’ health outcomes, these should be appraised taking into consideration the characteristics of the selected studies. In this systematic review, we summarised the current evidence of the efficacy of MBTs in improving the quality of life of both patients with cancer and their relatives, with a focus on the methodological quality, type of MBT evaluated and population involved in existing randomised controlled trials (RCTs).MethodsWe searched English language articles published until February 2021. Couples of authors independently applied inclusion criteria and extracted findings. Thirty RCTs were included.ResultsNearly half of the studies were performed in English-speaking countries outside of Europe, with females diagnosed with breast cancer. Most considered heterogeneous phases of illness; one study only was performed on relatives. In most cases, different measures were employed to evaluate the same outcome. The efficacy of MBTs has been demonstrated in 25 of the 30 included articles. The methodological quality of RCTs was acceptable.ConclusionThe heterogeneity of studies’ characteristics makes findings on the efficacy of MBTs poorly informative with reference to different clinical and cancer-related psychological conditions. Studies on more homogeneous samples by cancer site and phase, as well as performed in different cultural contexts, could provide a basis for better evaluating and targeting MBTs’ protocols for the specific needs of patients with cancer and their relatives.

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“…sures to reduce CRF have been proposed and demonstrated by randomised controlled trials(He et al, 2020;Wirz et al, 2010), they have seldom been implemented in practice due to the barriers mentioned above. Therefore, effective management of this illness in patients with cancer would warrant a multidisciplinary approach tailored to individual patient needs and should not be overlooked or left unsupported.…”

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confidence: 99%

Cancer‐related fatigue in hospitalised patients treated for lymphoma and its burden on family caregivers

Ren

Xiao-bing

et al. 2021

European J Cancer Care

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Objective: To investigate the prevalence of cancer-related fatigue (CRF) in patients with lymphoma and to explore the burden of CRF on the family caregivers (FCs).Methods: A cross-sectional study was conducted in a university-affiliated tertiary care hospital in China. Patients with lymphoma who received treatment in the in-patient ward of the Haematology Department were consecutively recruited.Face-to-face interviews were conducted to gather information related to the patients' sociodemographic characteristics and perceived CRF and its burden on the FCs. Cochran-Armitage trend analysis and Multivariable logistic regression analyses were employed to determine the association between CRF and the FCs' burden.Results: Of the 116 cancer patient-FC dyads, about 70% of patients experienced some level of fatigue, while 51% of unpaid family members suffered some degree of depression. The Cochran-Armitage trend analysis showed that the FCs' burden significantly increased with the severity of CRF. Logistic regression indicated that the FCs of the patients reporting fatigue experienced a higher burden in both the unadjusted and adjusted models. Conclusion:The prevalence of CRF appeared to be high among patients with lymphoma. It might be important to design innovative health-promoting practices for ameliorating or preventing the impact of fatigue.

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Mindfulness Ased Stress Reduction Interventions for Cancer Related Fatigue: A Meta-Analysis and Systematic Review

Cited by 11 publications

References 16 publications

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review

Mindfulness-based therapies for cancer patients and families: a systematic review

Cancer‐related fatigue in hospitalised patients treated for lymphoma and its burden on family caregivers

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